Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $7,762.47	Facility		$1,000.00	$1,023.29	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,737.80	Professional		$660.69	$812.83	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,348.96	Professional		$588.84	$1,096.48	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,862.09	Facility		$776.25	$1,096.48	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,348.96	Professional		$588.84	$1,047.13	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $23,442.29	Facility		$891.25	$11,220.18	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,621.81	Professional		$831.76	$1,096.48	$1,621.81